Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $186.21 / $323.59	Facility		$109.65	$186.21	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $87.10 / $123.03	Professional		$70.79	$87.10	$123.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $144.54 / $173.78	Facility		$128.82	$144.54	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $199.53 / $537.03	Facility		$69.18	$199.53	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $131.83 / $154.88	Professional		$123.03	$131.83	$154.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $151.36 / $275.42	Professional		$109.65	$151.36	$275.42
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $213.80	Facility		$107.15	$107.15	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $64.57 / $107.15	Professional		$44.67	$64.57	$107.15